DR. ROBERTO D LACHICA (MD) – Plastic and Reconstructive Surgery Physician, NPI 1366409104
Plastic and Reconstructive Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for DR. ROBERTO D LACHICA (MD)
601 WEST DR
MEMPHIS, TN 381121728
Phone: (901) 210-1302
Type: Mailing
Walnut Grove Road, Cordova, Memphis, Shelby County, Tennessee, 38018, United States
MEMPHIS, TN 381202112
Phone: (901) 226-3090
Fax: (901) 226-3096
Type: Location
Ridge Lake Boulevard, White Station, Memphis, Shelby County, Tennessee, 38120, United States
MEMPHIS, TN 381209446
Phone:
Fax: (901) 227-8591
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $175.
Total Amount is formed as General ($175) + Research ($0) + Ownership ($0) = $175.
Last reported payment date: 2024-01-29 • Largest payer in this snapshot: BIOTISSUE HOLDINGS, INC. ($135).
Total Amount
$175
General + Research + Ownership
Payments
3
Total payment records
General Amount
$175
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-01-29
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| BIOTISSUE HOLDINGS, INC. | $135 |
| BIOTISSUE HOLDINGS INC. | $40 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2020-04-03
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20101012000703 | I | Plastic And Reconstructive Surgery | TN | TBD |
| I20200403000138 | I | Plastic And Reconstructive Surgery | MS | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 38112)
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Group practice members
- 1
- 2
- 3
- 4
- 5
| Name | Specialty | State |
|---|---|---|
| Osteopathic Manipulative Medicine | NY | |
| H E M A T O L O G Y/ O N C O L O G Y | TN | |
| Family Practice | MS | |
| Nurse Practitioner | GA | |
| Family Practice | GA | |
| Nurse Practitioner | MS | |
| Internal Medicine | AR | |
| Internal Medicine | GA | |
| Nurse Practitioner | TN | |
| Internal Medicine | TN |
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